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Determining the Correlation Between Sexual Satisfaction and Loneliness Levels in Patients with Hemodialysis in a Muslim Community

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Abstract

Patients living with hemodialysis (HD) will be adapting to chronic renal failure and its many psychosocial and physiological problems. The aim of this study is to determine the correlation between sexual satisfaction and loneliness levels in patients with HD in a Muslim community. This descriptive correlation study was conducted in the hemodialysis units between August 2008 and February 2009 in the Faculty of Medicine at Ondokuz Mayıs University and in a private hemodialysis centre. A total of 131 patients with HD in Northern Turkey were included in this study. The data in the research was collected by using a demographic, clinic information questionnaire, the Golombok-Rust Inventory of Sexual Satisfaction (GRISS) and the UCLA Loneliness Scale. Descriptive statistics, an analysis of variance test, the Tukey test, a Chi-square test and contingency coefficient statistics were used to summarize the data. In this study it was found that there is a statistically significant correlation between five items (sexual frequency, communication, satisfaction, avoidance and sensuality), which are included in both male and female GRISS forms, and loneliness level (p < 0.05). If patients with HD are better supported and cared for, these negative physiopsychosocial consequences might be prevented or at least decreased.

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References

  1. Diaz, F.M., Ferrer, A.R., Cascales, R.F.: Sexual functioning and quality of life of male patients on hemodialysis. Nefrologia 26(4), 452–459 (2006)

    Google Scholar 

  2. Diemont, W.L., Vruggink, P.A., Meuleman, E.J.H., Doesburg, W.H., Lemmens, W.A.J.G., Berden, J.H.M.: Sexual dysfuntion after renal replacement therapy. Am. J. Kidney Dis. 35(5), 845–851 (2000)

    Article  PubMed  Google Scholar 

  3. Kettas, E., Cayan, F., Akbay, E., Kıykım, A., Cayan, S.: Sexual dysfunction and associated risk factors in women with end-stage renal disease. J. Sex Med. 5(4), 872–877 (2008)

    Article  PubMed  Google Scholar 

  4. Levy, N.B.: Sexual dysfunctions of hemodialysis patients. Clin. Exp. Dial. A. 7(4), 275–288 (1983)

    Google Scholar 

  5. Palmer, B.F.: Sexual dysfunction in men and women with chronic kidney disease and end-stage kidney disease. Adv. Ren. Replace. Ther. 10(1), 48–60 (2003)

    Article  PubMed  Google Scholar 

  6. Peng, Y.S., Chiang, C.K., Kao, T.W., Hung, K.Y., Lu, C.S., Chiang, S.S., Yang, C.S., Huang, Y.C., Wu, K.D., Wu, M.S., Lien, Y.R., Yang, C.C., Tsai, D.M., Chen, P.Y., Liao, C.S., Tsai, T.J., Chen, W.Y.: Sexual dysfunction in female hemodialysis patients: a multicenter study. Kidney Int. 68, 760–765 (2005)

    PubMed  Google Scholar 

  7. Raiz, L., Davies, E.A., Ferguson, R.M.: Sexual functioning following renal transplantation. Health Soc. Work 28(4), 264–272 (2003)

    Article  PubMed  Google Scholar 

  8. Song, Y.S., Yang, H.J., Song, E.S., Han, D.C., Moon, C., Ku, J.H.: Sexual function and quality of life in Korean women with chronic renal failure on hemodialysis: case control study. Urology 71(2), 243–246 (2008)

    Article  PubMed  Google Scholar 

  9. Soykan, A., Boztas, H., Kutlay, S., Ince, E., Nergizoglu, G., Dilekoz, A., Berksun, O.: Do sexual dysfunctions get better during dialysis? Results of a six- month prospective follow-up study from Turkey. Int. J. Impot. Res. 17, 359–363 (2005)

    Article  PubMed  Google Scholar 

  10. Stewart, M.: Narrative literature review: sexual dysfunction in the patient on hemodialysis. NNJ. November-December 33(6), 631–641 (2006)

    Google Scholar 

  11. Toorians, A.W., Janssen, E., Laan, E., Gooren, L.J.G., Giltay, E.J., Oe, P.L., Donker, A.J.M., Everaerd, W.: Chronic renal failure and sexual functioning: clinical status versus objectively assessed sexual response. Nephrol. Dial. Transplant. 12, 2654–2663 (1997)

    Article  PubMed  Google Scholar 

  12. Arslan, D., Aslan, G., Sifil, A., Cavdar, C., Celebi, I., Camsari, T., Esen, A.: Sexual dysfunction in male patients on hemodialysis: assessment with the International Index of Erectile Function (IIEF). Int. J. Impot. Res. 14, 539–542 (2002)

    Article  PubMed  Google Scholar 

  13. Guan, J., Fan, J.M., Zhang, W.D., Luo, H., Li, Z., Peng, G.H.: Sexual dysfunction in female patients with chronic renal insufficiency. J. Sichuan Univ. 36(4), 555–558 (2005)

    Google Scholar 

  14. Milde, F.K., Hart, L.K., Fearing, M.O.: Sexuality and fertility concerns of dialysis patients. ANNA J. 23(3), 307–313 (1996)

    PubMed  Google Scholar 

  15. Naya, Y., Soh, J., Ochiai, A., Mizutani, Y., Ushijima, S., Kamoi, K., Ukimura, O., Kawauchi, A., Fujito, A., Ono, T., Iwamoto, N., Aoki, T., Imada, N., Marumo, K., Murai, M., Miki, T.: Significant decrease of the international index of erectile function in male renal failure patients treated with hemodialysis. Int. J. Impot. Res. 14, 172–177 (2002)

    Article  PubMed  Google Scholar 

  16. Neto, A.F., Rodrigues, M.A.F., Fittipaldi, J.A.S., Moreira, E.D.: The epidemiology of erectile dysfuntion and its correlates in men with chronic renal failure on hemodialysis in Londrina, southern Brazil. Int. J. Impot. Res. 14(Suppl 2), 19–26 (2002)

    Google Scholar 

  17. Rosas, S.E., Joffe, M., Franklin, E., Strom, B.L., Kotzker, W., Brensinger, C., Grossman, E., Glasser, D.B., Feldman, H.I.: Association of decreased quality of life and erectile dysfunction in hemodialysis patients. Kidney Int. 64, 232–238 (2003)

    Article  PubMed  Google Scholar 

  18. Weizman, R., Weizman, A., Levi, J., Gura, V., Zevin, D., Maoz, B., Wijsenbeek, H., David, M.B.: Sexual dysfuntion associated with hyperprolactinemia in males and females undergoing hemodialysis. Psychosom. Med. 45(3), 259–267 (1983)

    PubMed  Google Scholar 

  19. Dunn, K.M., Hacket, G.I.: Satisfaction in the sex life of a general population sample. J. Sex Marital Ther. 26, 141–151 (2000)

    Article  PubMed  Google Scholar 

  20. Davidson, J.K., Darling, C.A., Norton, L.: Religiosity and the sexuality of women: sexual behavior and sexual satisfaction revisited. J. Sex Res. 32, 235–243 (1995)

    Article  Google Scholar 

  21. Bahar, A., Savas, H., Yıldızgordu, E., Barlıoglu, H.: Anxiety, depression and sexual life in hemodialysis patients. Anadolu Psikiyatri Derg 8, 287–292 (2007)

    Google Scholar 

  22. Camsari, T., Cavdar, C., Yemez, B., Ozkahya, M., Atabay, G., Alkin, T., Akçiçek, F.: Psychosexual function in CAPD and hemodialysis patients. Perit. Dial. Int. 19(6), 585–588 (1999)

    PubMed  Google Scholar 

  23. Turk, S., Karalezli, G., Tonbul, H.Z., Yıldız, M., Altıntepe, L., Yıldız, A., Yeksan, M.: Erectile dysfunction and the effects of sildenafil treatment in patients on haemodialysis and continuous ambulatory peritoneal dialysis. Nephrol. Dial. Transpl. 16, 1818–1822 (2001)

    Article  Google Scholar 

  24. Yenicerioglu, Y., Kefi, A., Aslan, G., Cavdar, C., Esen, A.A., Camsari, T., Çelebi, I.: Efficacy and safety of sildenafil for treating erectile dysfunction in patients on dialysis. BAUS 90, 442–445 (2002)

    Google Scholar 

  25. Biri, A., Korucuoglu, U., Ilhan, M., Bingol, B., Yılmaz, E., Biri, H.: Turkish women’s level of knowledge on and attitude toward sexual health. Maturitas. 58, 236–240 (2007)

    Article  PubMed  Google Scholar 

  26. Aydın, H., Gulcat, Z.:Continuum Complete International Encyclopedia of Sexuality, Edit: Francoeur, R.T., Noonan, R.J.2. The Continuum International Publishing Group Inc, Newyork, pp. 1054–1071 (http://www.kinseyinstitute.org/ccies). Accessed date 12 February 2009 (2003)

  27. Rust, J., Golombock, S.: The Golombok-Rust inventory of sexual satisfaction (GRISS). Br. J. Clin. Psychol. 24, 63–64 (1985)

    Article  PubMed  Google Scholar 

  28. Rust, J., Golombok, S.: The GRISS—a psychometric instrument for the assessment of sexual dysfunction. Arch. Sex. Behav. 15, 157–165 (1986)

    Article  PubMed  Google Scholar 

  29. Tugrul, C., Oztan, N., Kabakcı, E.: Standardization of Golombok-Rust sexual satisfaction inventory. Turk. Psikiyatr. Derg. 4, 83–88 (1993)

    Google Scholar 

  30. Russell, D., Peplau, L.A., Cutrona, C.E.: The revised UCLA loneliness scale: concurrent and discriminant validity evidence. J. Pers. Soc. Psychol. 39, 472–480 (1980)

    Article  PubMed  Google Scholar 

  31. Demir, A.: Validity and reliability of UCLA loneliness scale. J. Psychol. 23, 14–18 (1989)

    Google Scholar 

  32. Ozer, N.: The effect of planned training on transfer anxiety of the patients for transfer to the clinic from intensive care unit A cardiovascular surgery. Doctoral Dissertation. University of Atatürk, Erzurum (2002)

  33. Kimmel, P.L., Peterson, R.A., Weihs, K.L., Simmens, S.J., Boyle, D.H., Cruz, I., Umana, W.O., Alleyne, S., Veis, J.H.: Aspects of quality of life in hemodialysis patients. J. Am. Soc. Nephrol. 6(5), 1418–1426 (1995)

    PubMed  Google Scholar 

  34. Kimmel, P.L., Peterson, R.A., Weihs, K.L., Simmens, S.J., Boyle, D.H., Umana, W.O., Kovac, J.A., Alleyne, S., Cruz, I., Veis, J.H.: Psychologic functioning, quality of life, and behavioral compliance in patients beginning hemodialysis. J. Am. Soc. Nephrol. 7(10), 2152–2159 (1996)

    PubMed  Google Scholar 

  35. Ovayolu, N., Pehlivan, S., Uçan, O., Cuhadar, D.: The relationship between loneliness and depression levels in hemodialysis patients. Anadolu Psikiyatri. Derg. 8, 293–296 (2007)

    Google Scholar 

  36. Sagduyu, A., Senturk, V., Sezer, S., Emiroglu, R.: Hemodialysis and kidney transplantation in patients with psychiatric problems, quality of life and adherence to treatment. Turk. Psikiyatr. Derg. 17(1), 22–31 (2006)

    Google Scholar 

  37. Tsay, S.L., Healstead, M.: Self care self efficacy, depression and quality of life among patients receiving hemodialysis in Taiwan. Int. J. Nurs. Stud. 39, 245–251 (2002)

    Article  PubMed  Google Scholar 

  38. Weisbord, S.D., Fried, L.F., Arnold, R.M., Fine, M.J., Levenson, D.J., Peterson, R.A., Switzer, G.E.: Prevalence, severity, and importance of physical and emotional symptoms in chronic hemodialysis patients. J. Am. Soc. Nephrol. 16, 2487–2494 (2005)

    Article  PubMed  Google Scholar 

  39. Peng, Y.S., Chiang, C.K., Hung, K.Y., Chiang, S.S., Lu, C.S., Yang, C.S., Wu, K.D., Yang, C.C., Lin, R.P., Chang, C.J., Tsai, T.J., Chen, W.Y.: The association of higher depressive symptoms and sexual dysfunction in male haemodialysis patients. Nephrol. Dial. Transplant. 22, 857–861 (2007)

    Article  PubMed  Google Scholar 

  40. Rosas, S.E. Joffe, M., Franklin, E., Strom, B.L., Kotzker, W., Brensinger, C., Grossman, E., Glasser, D., Feldman, H.I.: Prevalence and determinants of erectile dysfunction in hemodialysis patients. Kidney Int. 59, 2259–2266 (2001)

    Google Scholar 

  41. Ali, M., Hafez, H.Z.A., Mahran, A.M., Mohamed, H.Z., Mohamed, E.R., Shazly, A.M.E., Gadallah, A.M., Abbas, M.A.: Erectile dysfunction in chronic renal failure patients undergoing hemodialysis in Egypt. Int. J. Impot. Res. 17, 180–185 (2005)

    Article  PubMed  Google Scholar 

  42. Cerqueira, J., Moraes, M., Glina, S.: Erectile dysfunction: prevalence and associated variables in patients with chronic renal failure. Int. J. Impot. Res. 14, 65–71 (2002)

    Article  PubMed  Google Scholar 

  43. Marumo, K., Nakashima, J., Murai, M.: Age related prevalence of erectile dysfunction in Japan: assessment by the international index of erectile function. Int. J. Urol. 8, 53–59 (2001)

    Article  PubMed  Google Scholar 

  44. Tugrul, C., Kabakci, E.: Vaginismus and its correlates. J. Sex Marital Ther. 12, 23–34 (1997)

    Article  Google Scholar 

  45. Ozdemir, Y.O., Simsek, F., İncesu, C., Koc, K.: Sociodemographic and clinical characteristics of subjects referred to a multidisciplinary sexual dysfunction outpatient clinic. Eur. J. Sex. Health. 15(Sup 1), 14–15 (2006)

    Google Scholar 

  46. Simsek, F., Ozdemir, Y.O., Incesu, C., Koc, K.: Sociodemographic and clinical characteristics of subjects referred to a multidisciplinary sexual dysfunction outpatient clinic. Uroloji Bulteni 14, 137–144 (2003)

    Google Scholar 

  47. Oniz, A., Keskinoglu, P., Bezircioglu, I.: The prevalence and causes of sexual problems among premenopausal Turkish women. J. Sex. Med. 4, 1575–1581 (2007)

    Article  PubMed  Google Scholar 

  48. Dogan, S.: Vaginusmus and accompanying sexual dysfunction in a Turkish Clinical Sample. J. Sex. Med. 6, 184–192 (2009)

    Article  PubMed  Google Scholar 

  49. Unluoglu, G., Ozden, A., Ince, E.: The needs of dialysis patients for information. Türk. Nefrol Diyal. Transplant Derg. 3–4, 125–130 (1997)

    Google Scholar 

  50. Foxall, M.J., Ekberg, J.K.: Loneliness of chronically ill adults and their spouses. Issues Ment. Health Nurs. 10, 149–167 (1989)

    Article  PubMed  Google Scholar 

  51. Lankveld, V., Koeveringe, G.A.: Predictive validity of the Golombock Rust inventory of sexual satisfaction (GRISS) for the presence of sexual dysfunctions with in a Dutch urological population. Int. J. Impot. Res. 15, 110–116 (2003)

    Article  PubMed  Google Scholar 

  52. Tsay, S.L.: Acupressure and fatigue in patients with end stage renal disease—a randomised controlled trial. Int. J. Nurs. Stud. 41, 91–106 (2004)

    Google Scholar 

  53. Asti, T., Kara, M., Ipek, G., Erci, B.: The experiences of loneliness, depression, and social support of Turkish patients with continuous ambulatory peritoneal dialysis and their caregivers. J. Clin. Nurs. 15, 490–497 (2006)

    Article  PubMed  Google Scholar 

  54. Ocak, Z.:Determination of loneliness and nursing approach in hemodialysis patients. Abant İzzet Baysal University Institute of Health Sciences Master’s Thesis. Bolu (Consultant: Assoc. Dr. Feray Gökdoğan) (2002)

  55. Karadeniz, G., Altıparmak, S., Marul, G., Muslu, H.: To determine living sexual difficulties and consultation needs of hemodialysis patients. Ege Univ. Hemsire YO Derg. 21(2), 29–36 (2005)

    Google Scholar 

  56. Flaherty, M.J., Q’Brien, M.E.: Family style of coping in end stage renal disease. ANNA J. 20, 653–659 (1992)

    Google Scholar 

  57. Arici, M., Altun, B., Usalan, C., Ulusoy, S., Erdem, Y., Yasavul, T.C.: Compliance in hemodialysis patients: unanticipated monitoring of biochemical indices. Blood Purif. 16, 275–280 (1998)

    Article  PubMed  Google Scholar 

  58. Kara, B.A.: Reliability and validity study of hemodialysis stressor scale. Zonguldak Saglık YO Sağlık Eğit Araşt Derg. 2(2), 64–71 (2006)

    Google Scholar 

  59. Ozcurumez, G., Tanrıverdi, N., Zileli, L.: Kronik böbrek yetmezliğinin psikiyatric ve sosyal yönleri. Turk. Psikiyatr. Derg. 14(1), 72–80 (2003)

    Google Scholar 

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The authors wish to thank the participants of the research groups for giving their time generously.

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The authors declared no conflicts of interest with respect to the authorship and/or publications of this article.

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Correspondence to Zeliha Koç.

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Koç, Z., Saglam, Z. Determining the Correlation Between Sexual Satisfaction and Loneliness Levels in Patients with Hemodialysis in a Muslim Community. Sex Disabil 31, 13–29 (2013). https://doi.org/10.1007/s11195-011-9252-2

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